RTAC Quarterly Report Quarter: Q1 2018 Date: 5/11/18 EMS Region 1 RTAC Chair Jaina Carnes RTAC Coordinator Jaina Carnes Date last BIS Assessment completed: _4/15/17 Date last Trauma Plan completed: 11/2015 Projects: State Date Status (Date if Completed) Description and Report Ongoing by Data Committee Data report- compilation of data from Region 1 Trauma Centers/Level 1 and 2 trauma centers serving region 1- review of EMS scene times and trauma patient metrics. Ongoing by Hospital Committee Annual update of hospital s capabilities document (Done Dec. 2017). Ongoing through 2018 Stop the Bleed- Regional completion in public schools. Ongoing through 2018 Ongoing through 2019 Ongoing through 2019 Ongoing through 2019 Ongoing through 2019 DART team trainings to include TCCC Survivor Cases spotlight/recognition- Beginning stages of pulling cases from county data and Trauma Center data with patient approval to highlight survivor stories (BIS 105.2). RTAC resource development identifying gaps in resources for RTAC (BIS 204.1) Injury Prevention/Education campaignidentifying what IP initiatives are being done throughout the region to combine efforts to better use resources and bring more awareness to the public/legislators/press. EMS Data report- compilation of data and review of EMS metrics on trauma patients. Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Trained Schools Completed Counties in Progress Counties Completed Challenges 1
RTAC Quarterly Report 4279 169 9 7 School schedules. Communication not returned by school officials Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Remaining Unsure of date, but prob 2012. Please check record with Dena (per David Foster). $50,000 Unsure but cannot account for more than $4500 according to David Foster. Description/Notes Before Region 1 had a 501c3, $50,000 was given to an area Trauma Center so that keep records could be kept. David has asked for a ledger without success. We would like the grant money placed back in the Region 1 501c3 account for use. Requested $48,500 RTAC Grant- Funded RTAC Coordinator Requested $46,070 Regional Improvement Grant- Education, equipment, and Prevention funds. 2
RTAC Quarterly Report Current Needs: Funded RTAC Coordinator. Funds for Regional Improvements. Regional Summary: April 2018 meeting: Based on BIS goals, the following objectives have been identified by RTAC Subcommittees: Data Committee: Define & identify cases concerning dramatic life saves with return to a quality of life. Develop process to measure stratified ISS to help identify cases. Work with public relations contacts from all stakeholders to host event for survivors Hospital Committee: Perform gap analysis to identify trauma system gaps and resource needs for RTAC in region one. Utilized published evidence based documents as guidance to accomplish the above. Meet twice before next RTAC meeting to work on objectives. IP/Education Committee: Send Survey Monkey to EMS Services. Hospitals and other stakeholders to identify IP and Education initiatives already in use in Region 1. o This will be done in waves. Use results from Survey to: o Identify gaps in services o Develop injury prevention campaign o Use public service announcements to target the community, policymakers and trauma system stakeholders o Develop and establish a repository for publications and education materials. EMS Committee Develop Excel document and request data from EMS Service Directors to work towards filling EMS Data gaps. Work towards getting GEMSIS reports back to the region. 3
RTAC Quarterly Report Quarter: 1st Date: May 10, 2018 EMS Region 2 RTAC Chair Chad Black RTAC Coordinator N/A Date last BIS Assessment completed: 2015 Date last Trauma Plan completed: 2017 Projects: State Date Status (Date if Completed) Description and Report 02/18 11/2016 3 rd Annual Trauma Symposium planning for November in progress. 02/18 Trauma App for Region 2 and State use 06/2018 Scheduled Currently in production and have applied for funding from FY 2019 Commission Funding for completion and field testing. Stop the Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 5600 124 4 9 Improvement with 2 counties slow to start initially. Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining $50,000 $32,000 Original Funding $12,000 0 Funding for 2 nd Symposium. Current Needs: 4
RTAC Quarterly Report Funding for Trauma Symposium, Law Enforcement STB and Trauma App development and implementation. Regional Summary: Region 2 continues to have great participation in our R.T.A.C. Quarterly meetings and work within the region. We are currenly working on plans and logistics for the 3 rd Annual Trauma Symposium to be hosted again in Gainesville Georgia. We continue to progress with our STB Training in our schools, with over 86% completion. We have had one incident we are aware of where the Trauma Kit was used for a young lady who suffered an open fx. which included an arterial bleed. The School Nurse was trained, and quick to apply the CAT which subsequently stopped the bleeding. The child is now back in school and doing well. Region 2 RTAC is also assisting other regions with their current trauma plans and planning. We have applied for several funding opportunties from the commission for STB with all Law Enforcment in our region and completing with development of the Trauma App for all Smart Devices and computers. 5
Quarter: 1 st -2018 RTAC Quarterly Report Date: 5-15-2018 EMS Region 3 RTAC Chair Dr Jeff Nicholas RTAC Coordinator Date last BIS Assessment completed: _3/2015 Date last Trauma Plan completed: 1/2016 Projects: State Date Status (Date if Completed) Description and Report 6/2016 In progress RTTDC- Looking for sites 6/2016 In progress Car Seat Technician-Classes are scheduled Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 7,000 234 Fulton Dekalb Clayton Douglas Gwinnett Rockdale Newton Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 7/2017 $60,000 $42,766.35 6/2016 $11,165.37 EMS Regional Improvement Grant Current Needs: 6
RTAC Quarterly Report Requesting $60,000 for coordinator position for next year while recognizing the funds were not exhausted from last year. We wish to utilize the funds from last year that are currently located with the Trauma Foundation to host a trauma symposium in R3. Regional Summary: Regional Improvement Grant- In process of completing 2 of the 3 projects. Utilized funds to purchase distracted driving learning kits, great success in their usage. In process of hiring for new coordinator, there is a large need for this role with the amount if projects and daily activities in this region. 7
Quarter:_1 st 2018 EMS Region 4 RTAC Chair Steve Folden RTAC Coordinator RTAC Quarterly Report Date:_5-15-2018 Date last BIS Assessment completed: Date last Trauma Plan completed: _1/2018 Projects: State Date Status (Date if Completed) Description and Report 6/2017 In progress TECC Courses Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 8875 109 Carroll Henry Heard Lamar Upson Troup Butts Coweta Fayette Spalding Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 7/2017 $70,000 $67,885.00 Startup 6/2017 RIG-TECC Courses Current Needs: 8
RTAC Quarterly Report Will be working towards a new coordinator in place to assist with daily operations to include completing new BIS assessment. No requests from the commission this year. Regional Summary: TECC courses are in progress, some difficulties with the funding streams so having to make adjustments. Will continue with progress for STB. Have signed an agreement with North Georgia Community Foundation. Will be transferring funds there in the near future. 9
Quarter:1 st -2018 RTAC Quarterly Report Date:_5-15-2018 EMS Region 8 RTAC Chair David Edwards/Daphne Stitely RTAC Coordinator Date last BIS Assessment completed: Pending Date last Trauma Plan completed: Pending Projects: State Date Status (Date if Completed) Description and Report Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 1,141 45 Early Seminole Decatur Lee Irwin Dooly Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 7/2016 $60,000 $60,000 Invoicing for now Current Needs: 10
RTAC Quarterly Report Hire a coordinator to assist with activities. Regional Summary: We are currently finishing the BIS assessment with a goal to complete the Regional Trauma Plan prior to the end of the year. Intend to utilize start up funds to hire a coordinator to assist with projects and daily activities of the RTAC. 11
RTAC Quarterly Report Quarter:_1 st 2018 Date: 5/15/2018 EMS Region IX RTAC Chair Dr. James Dunne RTAC Coordinator Stephanie Gendron Date last BIS Assessment completed: Scheduled for 1/22/18 Date last Trauma Plan completed: 2011- Will be completed after 7/1/2018 Projects: Start Date Status (Date if Completed) Description and Report 8/17 Stop the Bleed- School GTC Stop the Bleed Program Response 4/2018 Stop the Bleed- Regional Private Schools Private schools will receive invitation on 6/5/18. Have already trained 3 private schools 9/2017 Trip Reports Establish a standardized trip report form for all EMS units 9/2017 ATV/Golf Cart Safety Create ATV/Golf Cart Safety Program- Final document is with Safe Kids Worldwide currently 12/2017 Training public responders- STB Trained Savannah Police, Savannah Fire, Southside Fire, Savannah Airport, Bulloch EMS, Tybee Police. Found supplies to continue training public safety organizations. 6/2018 Public STB Training Partnering with CEMA to conduct public response training including STB. Be the help until help arrives 5/2018 3 rd Annual M. Gage Ochsner Symposium Regional Trauma Symposium Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed ~3500 181 4 20 Politics, supplies. Bryan County 12
RTAC Quarterly Report Grant Amount: $ Award Date Invoice # Invoice Amount Financial Report: How received: Unknown Grant Description/Notes Amount Remaining Will be applying for Regional Improvement Grant to finish DART program. STB Grant Requested 5/11/18 Current Needs: - Involvement from EMS council - Involvement from ALL outside hospitals - Will need direction for Trauma Plan after 7/1 - Will need direction for new RTAC chair Regional Summary: Our RTAC BIS assessment was completed on 1/22/2018. Our committee will until after the start of the fiscal year on 8/1/2018 to begin the Trauma Plan due to staffing and potential change in the Chair position. The participation for RTAC activites has been overall solid- with the exception of the injury prevention committee and QA/PI committee, the focus has been on completing STB. Our injury prevention committee created an ATV/Golf Cart injury prevention program that is currently being reviewed by Safe Kids Worldwide. In addition, Memorial has published research emphasising the need for increased legislative measures for golf cart and ATV use. The QA/PI committee created a pre-hospital trip report that is currently being used by two of our largest services. We have seen an increase in trip reports being received at the level I center, and are working out logistics with the new patient registration system due to the acquisition by HCA. Stop the bleed has been extremely successful in our region. We have completed 25 counties with ease, and four will be complete as of May 25 th. That leaves one county: Bryan County, that has elected to complete their training at another time. We have received extremely positive feedback from all of our counties, with one nominating the GTC for an Award in Nursing. We will begin contacting private schools on 6/15 to set up their training for pre-planning in July/August. We have already trained 3 private schools with positive feedback. At this time we have submitted the list of private schools to the Region J council so they can determine how 13
RTAC Quarterly Report many kits each private school will receive. The grant was submitted for Rural Private Schools so we have excluded Chatham County schools with over 100 students as well as Glynn County schools with over 100 students. We will still offer the training to every school, but will be unable to fund kits. We have agreed to roll out the program in the same manner as we did with public schools for consistentcy. We are beginning to train more public safety organizations as we have now found a funding source for police. We provided supplies to Tybee Police before Orange Crush and will be training Georgia Southern Campus Police in July. We have set up our first public education training sessions, partnering with Chatham County Emergency Management. We are excited to learn from this new adventure. 14
Quarter:1 st -2018 RTAC Quarterly Report Date:_5-15-2018 EMS Region 10 RTAC Chair Dr. Horst RTAC Coordinator Date last BIS Assessment completed: _Pending Date last Trauma Plan completed: Pending Projects: State Date Status (Date if Completed) Description and Report Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 1,452 41 Elbert Madison Oglethorpe Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 6-2015 $50,000 ~7,000 Startup Current Needs: 15
RTAC Quarterly Report Requesting $20,000 to support coordination with coordination through Graduate Program at UGA. Utilized initial start-up funding which lasted 3 years. Regional Summary: Working to complete the BIS assessment and the trauma plan for the beginning of the year. Was unable to utilize the initial Regional Improvement grant due to leadership changes at the receiving facility. Working on current grant proposal. 16
Catoosa Towns Fannin Dade Rabun Murray Union Whitfield Walker Gilmer White Habersham Lumpkin Stephens Chattooga Gordon Pickens Dawson Franklin Hall Banks Hart Floyd Bartow Cherokee Forsyth Jackson Madison Elbert Polk Paulding Cobb Barrow Clarke Gwinnett Oglethorpe Haralson Oconee Walton Wilkes Lincoln Douglas DeKalb Rockdale Fulton Greene Carroll Clayton Newton Morgan Taliaferro Columbia McDuffie Henry Fayette Warren Coweta Jasper Richmond Heard Putnam Spalding Butts Hancock Glascock System complete with kits in place Training complete, awaiting kits Training in process Training scheduled Troup Pike Jefferson Burke Meriwether Lamar Baldwin Monroe Jones Washington Upson Bibb Wilkinson Jenkins Harris Crawford Johnson Screven Talbot Twiggs Muscogee Taylor Peach Emanuel Laurens Houston Bleckley Treutlen Candler Bulloch Chattahoochee Macon Effingham Marion Schley Pulaski Montgomery Dooly Dodge Evans Wheeler Stewart Webster Toombs Sumter Bryan Tattnall Chatham Wilcox Crisp Telfair Quitman Liberty Terrell Lee Jeff Davis Randolph Ben Hill Turner Appling Long Clay Irwin Calhoun Dougherty Coffee Worth Tift Early Baker Berrien Atkinson Mitchell Miller Colquitt Cook Lanier Seminole Clinch Decatur Grady Thomas Brooks Lowndes Echols Bacon Wayne McIntosh Pierce Glynn Ware Brantley Charlton Camden 0 75 Miles 0 75 KM Total Individuals Trained 34659 Totals Schools Training Complete or In Progress 1542 Percentage Totals Schools Complete or In Progress 67% Total Schools Completed Training 1010 Percentage of Schools Completed Training 44% Total Schools that have Received Kits 957 Percentage of Schools That Have Received Kits 42% Schools Scheduled For Training 517 Percentage Scheduled For Training 22% 17
The Stop the Bleed Program for Georgia Schools has been a tremendous success. There are some aspects of this project yet to be completed and still some others to be improved upon. With the additional funding from the governor s office I would propose the following. 1. $80,000: Purchase kits to complete Georgia School Project The original document that I was given noting Georgia schools did not list alternative schools. While these schools may be smaller, they certainly have a tremendous need for the bleeding control kits. This coupled with new school set to open next year creates an additional need for kits not originally anticipated. 2. $25,000: Training video $96,000: Training kits for the schools The initial training of the schools was a very labor-intensive process with a great amount of benefit for the staff and the school nurses to interact with healthcare providers. This is not a feasible process on a continual basis though. So, for refresher and training for staff turnover it would be beneficial to ensure that we put out a consistent message. The recommendation will be to create a high-quality training video that can be viewed by the educators. Then to provide each school with a training kit. With this training material the educator can watch the program and then the school nurse can assist with the hands-on portion of the class. This will ensure that this project will be selfsustainable and offer continuity. 3. $19,420: 1 trainer and 5 tourniquets in every emergency department in the state. It is well known that in mass casualty events, most individuals are transported to hospitals by methods other than EMS. The end result for this is that hospitals other than trauma centers would possibly receive patients with traumatic extremity injuries. Also, when discussing tourniquets with several hospitals including trauma centers, it was determined that these facilities did not have tourniquets and the staff has not all been trained on tourniquet use. Finally, department staff should all be trained and made aware of the benefits of tourniquet usage as we train EMS and immediate responders state-wide. 4. $10,000: Place Kits and training for DPH and OPB buildings 5. $269,000: Place kits on Georgia Public School Buses As a general rule, the most dangerous thing that the majority of individuals do on a regular basis is to traverse the road of our state. While school buses and their drivers do afford the students a safe environment, accidents and assaults do still occur. These accidents can be either in accidents while the student is on the bus or with the students as pedestrians. With this in mind, I would like to place a bleeding control kit on every school bus in the state and ensure that the initial training is provided as well. There are roughly 18,000 school buses in the state. The funding here would provide for kits in approximately 18
7,500 of the buses. It will then be my intent to approach the commission next budget year for additional funding to complete this project. Project $500,000.00 Additional Kits for existing STB in Schools project ($80,000.00) Training Kits for Schools ($96,000.00) Educational Technology ($25,000.00) Tourniquets and Training for ED's in state ($20,000.00) Kits placed at DPH and OPB ($10,000.00) School bus equipped 10,000, (18,000 statewide) ($269,000.00) $0.00 19
Stop the Bleed Initiative Proposals TO: FROM: Georgia Trauma Care Network Commission Stop the Bleed Subcommittee (limited representation at this time) DATE: May 17, 2018 With the finding and recommendations from the Hartford Consensus, the GTCNC launched the School Response Program in an effort to train and equip teachers throughout the state s public schools in basic hemorrhage control techniques. With one million dollars awarded by the Georgia State Legislature, kits were purchased and teams of trainers deployed to accomplish this daunting task. While that initiative is still ongoing we know there is still a greater need to train more people in order to ensure Georgia is a state filled with resilient communities. Civilian tourniquet use associated with six-fold reduction in mortality according to the Texas tourniquet study group (in press by JACS). Bystanders are the best first line of treatment. We have received a total of seven proposal for consideration in the expansion of the Stop the Bleed initiative. The attached documents outlines the proposals and funding requests. We have two recommended amendments to the proposals. 1. Region 3 Mobile Education Trailer - For the mobile trailer, the RTAC 3 logo should also appear on the trailer, in addition the trailer should be an asset for all of Region 3. There needs to be a mechanism to schedule use of the trailer when needed. TSP/Mr. Terwilliger We would like consideration to expand this project utilizing the remaining funds available ($192,889.80) to include a multipack bleeding control kit that would be mounted on the wall in each of the identified Emergency Departments. This would provide 10 complete hemorrhage control kits as opposed to 5 tourniquets. The packs would have the GTCNC logo on them. Each ED would receive train the trainer education. In turn the hospital would agree to continue to train additional instructors and host community STB training classes in their area. Thank you for your consideration of the attached proposals and amendments. 20
AFY 2018 STB FUNDING RECOMMENDATION $500,000.00 EMS REGION PROPOSAL CONTACT AGENCY FOR CONTRACT AMOUNT OF FUNDS PROJECT DESCRIPTION PROJECTED END DATE EXISTING PROJECT ED or TSP GTCNC $80,000.00 Alternative Schools, New Schools, Surplus 12/31/2018 YES ED or TSP GTCNC $8,249.70 State Employees/Official Training & Placement of Cabinets (OPB, Floyd & DPH buildings) 6/30/2019 NO TSP or Courtney Terwilliger GTCNC $19,420.50 Tourniquets Placed in ED's & training 6/30/2019 NO 2 Chad Black RTAC 2 $49,969.00 Tourniquets Placed in LE personnel & training 12/31/2018 YES 3 Marty Billings MAAS $54,421.00 Mobile Education Trailer - Event training ONGOING NO 5 Kristal Smith RTAC 5 $49,975.00 School Response Program to colleges 6/30/2019 YES 9 Stephanie Gendron RTAC 9 $45,075.00 Bleeding Control Kit Placement on firetrucks & training 6/30/2019 NO $307,110.20 AMOUNT TO DIRECT $192,889.80 21
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Justification for Region 2 Budget Request Trauma Symposium $20,000 Region 2 Trauma Symposium in the first two years has become the 2 nd largest EMS Conference in the state according to Keith Wages of the OEMS&T. With that, our anticipation in attendance in 2018 is going to be 650 or more based on first and second year attendance and increase percentage, also the interest we already have from people across the state wanting to know when they can register. We will have a slate of both local and nationally known speakers on a variety of different subjects related to Trauma Care. We will also do again, Trauma Survivors and the EMS, hospital personnel who helped care for them. Our attendance increasing of course has made our cost increase and we want to be able to allow EMT, Paramedic and Nursing Students continue to attend free so help with cost from the Trauma Commission is a must to continue as an Educational Conference with high standards. Stop the Bleed Training for Law Enforcement $49,969 Region 2 has been very proactive with STB for our schools and now, we want to assure our Law Enforcement in the region is prepared. This funding would enable us to complete our region in both schools and Law Enforcement to assure STB Training and Equipment is more at hand when the need will arise. We have some agencies already trained, others with training planned, which has been done solely due to some local companies donating the funds. Law Enforcement is many times, and majority of time first on the scene, and can and has made a difference in many lives saved. Our EMS providers will provide the training at no cost, and use the funding to supply the CATS, Chest Seals and Gauze/dressings. L.E. would not need the Kits we currently place in schools, they will need the CATS and Chest Seals on their person versus a kit. Here is as close as I can get with numbers and so many LE agencies in our 13 counties. 1200 Total Officers who would be trained and equipped between the Sheriff s Departments and Local Police Agencies. Hall and Forsyth Sheriff s Office has over 700 between the two agencies, Gainesville PD is largest Police Department in our region. Item Cost Amount (officers) Total CATS $24.99 each 1200 $29,988 Chest Seals $14.93 each 1200 $15,504 Wound Dressing/Packing $121 case 37 $4,477 27
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